Organization Active NPI

Florida Presbyterian Homes, Inc

  • Nursing Facility/Intermediate Care Facility
  • Lakeland, FL
National Provider Identifier
1962812545
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
AL4790 Issued in FL
Legal business name
FLORIDA PRESBYTERIAN HOMES, INC
Practice address
901 Lakeside Avenue
Lakeland, FL 33803
Phone
(863) 688-5521
Fax
(863) 687-4088
NPI assigned
May 5, 2014
Organization subpart
Yes
Parent organization
FLORIDA PRESBYTERIAN HOMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John M. Hehn Jr.
Title
Executive Director
Phone
(863) 577-6033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X AL4790 FL Primary

Addresses

Primary practice location

901 Lakeside Avenue
Lakeland, FL 33803

Mailing address

16 Lake Hunter Drive
Lakeland, FL 33803
Phone (863) 688-5521

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2199406Florida Presbyterian Homes Inc901 S Lakeside Ave, Lakeland, FL 33803Certificate of waiverNov 8, 2026

National Provider Directory

National Provider Directory
Tax ID family
Florida Presbyterian Homes Inc2 organizations share this tax ID, including this one
Part of
Florida Presbyterian Homes Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1962812545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAKE HUNTER DRIVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-688-5521",
            "fax_number": "863-687-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LAKESIDE AVENUE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-688-5521",
            "fax_number": "863-687-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PRESBYTERIAN HOMES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PRESBYTERIAN HOMES",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "HEHN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "863-577-6033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "AL4790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.